MICHELLE VAZQUEZ (NPI# 1215476189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215476189 |
| Entity Type | Individual |
| Full Name | MICHELLE VAZQUEZ |
| Practice Address |
233 West Baseline Road La Verne CA 91750-0400 |
| Mailing Address |
9836 Whitewater Rd. Moreno Valley CA 92557 |
| Practice Telephone | 9098332986 |
| Practice Fax Number | 9095963567 |
| Mailing Telephone | 9095198665 |
| Mailing Fax Number | 9098332998 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992124168 | Michelle Vazquez | Counselor | 135 William St, Englewood, NJ 07631-3424 | 2014-04-15 |
| 1407987944 | Michelle Vazquez | Specialist/Technologist | 1222 S Jefferson St, Lockport, IL 60441-3541 | 2007-03-08 |
| 1518502897 | Michelle Vazquez | Nurse Practitioner | 3118 S Lafountain St, Kokomo, IN 46902-3710 | 2019-11-11 |
| 1932654936 | Michelle Vazquez | Social Worker | 431 River St, Suite 1, Waltham, MA 02453-5476 | 2016-08-18 |
| 1730450180 | Michelle Vazquez | Counselor | 1735 Enterprise Dr, Fairfield, CA 94533-6822 | 2012-01-17 |
| Street Address |
233 WEST BASELINE ROAD |
| City | LA VERNE |
| State | CA |
| Zip Code | 91750-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063549509 | Tiffany D. Hunt | Counselor | 233 West Baseline Road, Box400, La Verne, CA 91750-0400 | 2007-02-28 |
| 1669905832 | Haynes Family of Programs | Community Based Residential Treatment Facility, Mental Illness | 233 West Baseline Road, La Verne, CA 91750-2353 | 2017-04-05 |
| 1396147971 | Yolanda Jauregui | Counselor | 233 West Baseline Road, La Verne, CA 91750 | 2014-09-25 |
| 1528199437 | Erica C Santamaria | Counselor | 233 West Baseline Road, La Verne, CA 91750 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893324 | Alexis Ashley Andom | Occupational Therapist | 2061 Wright Ave., La Verne, CA 91750 | 2020-02-19 |
| 1952810855 | Wendy P Marrufo | Physical Therapist | 2590 Hayes Drive, La Verne, CA 91750 | 2017-09-22 |
| 1770006009 | Lineth Fiorella Florian | Family Medicine | 2333 Foothill Blvd, La Verne, CA 91750 | 2017-07-18 |
| 1205204765 | Heather Amanda Jantz Garcia | Specialist | 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 | 2015-09-14 |
| 1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
| 1538459011 | Sameer K Hassamal | Psychiatry & Neurology | 4201 Hartshorn Ranch Pl, La Verne, CA 91750 | 2011-04-18 |
| 1134351695 | Robin Lorinne Clarkson | Physical Therapist | 2125 Wright Avenue, Ste C1, La Verne, CA 91750 | 2009-08-18 |
| 1477784767 | Sb Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 781 Canyon View Dr, Laverne, CA 91750 | 2009-08-04 |
| 1295978872 | Vi Hung Ly | Chiropractor | 1145 Foothill Blvd., La Verne, CA 91750 | 2009-04-13 |
| 1700906138 | Laura Nazaryan | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750 | 2007-03-30 |
| Find all providers in zip 91750 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245663764 | Stephanie Shepard | Marriage & Family Therapist | 4715 Larkspur Ln, La Verne, CA 91750-1958 | 2013-08-20 |
| 1265671747 | Anna Marie Durham | Marriage & Family Therapist | 1249 Oak View Ln, Suite 100, La Verne, CA 91750-1527 | 2009-02-06 |
| 1588827083 | Marcee Dorai Zari | Marriage & Family Therapist | 223 West Baseline Rd, 400, La Verne, CA 91750-0400 | 2008-07-03 |
| 1104000421 | Deborah Jean Chalew | Marriage & Family Therapist | 3920 Turquoise Ln, La Verne, CA 91750-2678 | 2007-12-21 |
| 1932231586 | Alicia Landa | Marriage & Family Therapist | 3530 Damien Ave Spc 36, La Verne, CA 91750-3208 | 2007-03-09 |
| 1952480642 | Debra Joan Evans | Marriage & Family Therapist | 233 Baseline Rd, La Verne, CA 91750-2353 | 2006-11-03 |
| 1366536500 | Susan L Haly | Marriage & Family Therapist | 2120 Foothill Blvd, Ste 105, La Verne, CA 91750 | 2006-10-03 |
| 1649801739 | Lesley Louise Fisher | Marriage & Family Therapist | 1350 3rd St, La Verne, CA 91750-5201 | 2020-01-28 |
| 1356997290 | Laurena Pham | Marriage & Family Therapist | 1350 3rd St, La Verne, CA 91750-5201 | 2019-08-15 |
| 1235795006 | Joycelyn Givens Stallworth | Marriage & Family Therapist | 233 Baseline Rd, La Verne, CA 91750-2353 | 2019-05-16 |
| Find all providers in LA VERNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.